PIERRE AMOG
NPI 1083356398
Student in an Organized Health Care Education/Training Program in Long Branch, NJ

Q: What is Pierre Amog's NPI number?

The NPI number for Pierre Amog is 1083356398. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Pierre Amog's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Pierre Amog was last updated on April 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2022PECOS Enrolled

300 2ND AVE, LONG BRANCH, NJ 07740(732) 923-6540 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2022, Apr 8, 2022 (2 updates tracked since 2022).

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About Pierre Amog NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIERRE AMOG (NPI 1083356398) is an individual student in an organized health care education/training program in Long Branch, New Jersey and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083356398

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePIERRE AMOG

Location Address300 2ND AVELong Branch, NJ 07740-6303

Mailing Address300 2nd AveLong Branch, NJ 07740-6303 · (732) 923-6540

Phone(732) 923-6540

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 8, 2022

Last NPPES UpdateApril 27, 20222 updates tracked since enumeration

NPPES CertifiedApril 22, 2022

✔ NPI 1083356398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

300 2ND AVE, Long Branch, NJ 07740

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pierre Amog is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385139898

PECOS Enrollment IDI20251222003651

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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